NPI 1164558045
Mary E Opitz
Practice location
- Address
- 12263 E Henrie Roadway, Evansville, WY 82636-9611
- Phone
- (307) 234-8019
- Fax
- (307) 266-4347
- Mailing address
- 12263 E. Henrie Rd, Evansville, WY 82636
Registered specialties
Developmentally Disabled Services Day Training Agency
Primary
Registry record
- NPI
- 1164558045
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 26 Feb 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.